Central retinal artery occlusion following cosmetic filler injection
Keywords:
Central retinal artery occlusion, Filler injection, Visual lossAbstract
A 37-year-old female presented to the clinic with a sudden right vision loss of her right eye following injecting filler in her dorsum nasal area. On exam, her vision was no perception of light at the first visit. Multiple doses of subcutaneous hyaluronidase was injected along her nasal prior to her arrival at Thammasart hospital. The management at Thammasart hospital was ocular massage, hyperbaric oxygen treatment, anterior chamber paracentesis and administration of aqueous suppressants. Despite cerebral angiography injection 1500 IU of hyaluronidase into orbital branch of middle meningeal artery, the patient had no light perception.
Downloads
References
Park SW, Woo SJ, Park KH, Huh JW, Jung C, Kwon OK. Iatrogenic retinal artery occlusion caused by cosmetic facial filler injections. Am J Ophthalmol. 2012 Oct;154(4):653-662.e1. doi: 10.1016/j.ajo.2012.04.019. Epub 2012 Jul 25. PMID: 22835509.
Kim YK, Jung C, Woo SJ, Park KH. Cerebral Angiographic Findings of Cosmetic Facial Filler-related Ophthalmic and Retinal Artery Occlusion. J Korean Med Sci. 2015 Dec;30(12):1847-55. doi: 10.3346/jkms.2015.30.12.1847. Epub 2015 Nov 30. PMID: 26713062; PMCID: PMC4689831.
Klin Monbl Augenheilkd. Cilioretinal artery occlusion combined with central retinal vein occlusion - a report of two cases and review of the literature. 2010 Apr;227(4):302-5. doi:10.1055/s-0029-1245291. Epub 2010 Apr 20.PMID: 20408080.
Carle MV, Roe R, Novack R, Boyer DS. Cosmetic facial fillers and severe vision loss. JAMA Ophthalmol. 2014 May;132(5):637-9. doi:10.1001/jamaophthalmol.2014.498. PMID: 24604287.
Loh KT, Chua JJ, Lee HM, Lim JT, Chuah G, Yim B, Puah BK. Prevention and management of vision loss relating to facial filler injections. Singapore Med J. 2016;57(8):438-443.
Chander Y, Misra RN, Rai R. Hyperbaric oxygen therapy [HBOT] Med J Armed Forces India. 1999;55:89-90.
Park KH, Kim YK, Woo SJ, et al. Iatrogenic occlusion of the ophthalmic artery after cosmetic facial filler injections: a national survey by the Korean Retina Society. JAMA Ophthalmol. 2014;132(6):714-723. doi:10.1001/jamaophthalmol.2013.8204.
Chen Y, Wang W, Li J, Yu Y, Li L, Lu N. Fundus artery occlusion caused by cosmetic facial injections. Chin Med J (Engl). 2014; 127(8):1434-1437.
Kapoor KM, Kapoor P, Heydenrych I, Bertossi D. Vision Loss Associated with Hyaluronic Acid Fillers: A Systematic Review of Literature. Aesthetic Plast Surg. 2020;44(3): 929-944. doi:10.1007/s00266-019-01562-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Asian Medical Journal and Alternative Medicine
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.